Ancona, John P
Ancona, John P is an individual health care provider with primary practice located at 1527 Route 12 , Gales Ferry CT 06335-1800. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Ancona, John P can be contacted via phone (860) 464-7248.Contact Information
Primary practice address
1527 Route 12
Gales Ferry CT 06335-1800
Phone: (860) 464-7248
Fax: (860) 464-0125
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 041171 | Connecticut |
Profile Details
| NPI number | 1548359060 |
|---|---|
| LBN Legal business name | Ancona, John P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2006 |
| Last updated | Jan 23rd, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548359060 | NPPES |
| Other | 041171 | CONNECTICARE | |
| Other | 010041171CT01 | CONNECTICARE | |
| MEDICAID | 01411719 | CONNECTICARE | |
| Other | 041171 | CONNECTICARE | |
| Other | 2V4776 | CONNECTICARE |
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